Individual provider · Type 1 NPI

Christopher Phung

Nurse Practitioner · Philadelphia, PA

NPI number 1124696935 Active

Practice location

132 S 10th St
Philadelphia, PA 19107-5244

Mailing address

1050 Johnston St
Philadelphia, PA 19148-4941

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XF01211220 (PA)
Nurse Practitioner Primary 363L00000XSP023573 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124696935

Christopher Phung's National Provider Identifier is 1124696935, issued on Jun 16, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 16, 2021.